[Hypovolaemic shock due to increased capillary permeability (author's transl)].
In a 69-year-old man admitted to hospital for shock with symptoms suggesting acute cor pulmonale, laboratory tests showed low proteinaemia associated with haemoconcentration. Vascular filling led to recovery, but the condition relapsed 6 months later, heralded by weight increase, swelling of the face and profuse swelling; the patient again recovered. On this last occasion, a monoclonal peak of IgG kappa thought to have antibody activity was discovered. These attacks of hypovolaemic shock seem to be due to sudden increases in capillary permeability.
D000368:Aged; D002199:Capillary Permeability; D006801:Humans; D007019:Hypoproteinemia / Q000209:etiology; D007074:Immunoglobulin G / Q000032:analysis; D007145:Immunoglobulin kappa-Chains / Q000032:analysis; D008297:Male; D012008:Recurrence; D012769:Shock / Q000097:blood / Q000175:diagnosis / Q000209:etiology*
D007074:Immunoglobulin G; D007145:Immunoglobulin kappa-Chains
Choc hypovolémique par augmentation de la perméabilité capillaire. Une observation.